Individual
JENNIFER AMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
3710 57TH AVE, KENOSHA, WI 53144-4820
(847) 644-5951
Mailing address
821 VISTA CT N, LA CROSSE, WI 54601
(608) 498-0054
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209.011643
IL
363LF0000X
Family Nurse Practitioner
Primary
6049-33
WI
Other
Enumeration date
07/26/2014
Last updated
03/01/2018
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